Lower Eyelid Bags

September 28, 2016

Lower eyelid blepharoplasty removes the excess fat, commonly known as eyelid bags, that bulges from the lower part of the eye socket into the eyelid. Additionally, the skin of the lower eyelid bags may be wrinkled and redundant. Both of these factors contribute to a tired and aged appearance of the eyes.

Lower blepharoplasty is performed with an incision placed inside the lower lid with no external sutures or scar. A small amount of skin can also be removed with an incision just below the eyelashes when needed. Thorough examination and communication is needed as many patients demonstrate their desired look following lower blepharoplasty by pulling their entire face back towards their ear. This can only be achieved by a face-lift in addition to removal of the lower lid fat pockets.

Removal of too much skin from the lower lids will lead to ectropion or lower lid retraction. This is where the lower lid is pulled down and away from the eyeball. Lower lid ectropion and retraction following blepharoplasty are very difficult to repair. Careful examination and a conservative surgical approach is crucial in preventing these problems.

Lower blepharoplasty is performed with IV sedation in a surgery center and typically takes 45 minutes. Recovery to normal activity is within 1 week for most patients. Restrictions include no driving for the first week after surgery, no lifting greater than ten pounds and no strenuous activity. Bruising and swelling can be expected but fade within 2-3 weeks on average. Some patients have minimal bruising that resolves in 10 days, others may have swelling that lingers for a month. Please allow adequate healing time prior to any upcoming special events.